11/7/2023 0 Comments Open monteggia fractureAP and lateral films of the forearm as well as the elbow and wrist should be obtained. This includes posterior interosseous nerve (PIN) and ulnar nerve neuropraxia, typically seen with Bado III and II, respectively (Waters, 2012).Īppropriate imaging is essential to avoid missing this injury. Neurologic deficit is present at presentation in 10-20% of the cases. Forearm deformity may or may not be present and limitations in range of motion are not always obvious. Patients usually present with a history of a fall onto an outstretched hand and pain in the forearm and elbow. The type of fracture depends largely on the mechanism of injury (Evans, 1949). They typically occur in children between 4 and 10 years of age after a fall onto an outstretched hand. This fracture pattern was first described in 1814 by Giovanni Monteggia. Monteggia fractures account for 0.4% of all forearm fractures in children. ![]() Proximal radius dislocations in skeletally immature teenagers and children occur in the setting of a spectrum of ulnar injuries that often do not follow classic adult patterns. Be aware of plastic deformation of the ulnaĪ Monteggia fracture involves a fracture of the ulna with disruption of the proximal radio-ulnar joint (PRUJ) and radiocapitellar dislocation (Bado, 1967). ![]()
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